Clinical Site Nurse

Bedfordshire Hospitals NHS Foundation Trust
£43,742 to £50,056 a year pa
Closing date
5 Jun 2023

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Band 7
Contract Type
Full Time
We have an exciting opportunity within our organisation for a motivated and forward thinking Registered Nurse to provide visible nursing and managerial leadership out of hours. This is an ideal opportunity for an experienced nurse to help us develop this service, working collaboratively with wards and departments to ensure our patients are managed safely.

As the Clinical Site Nurse you will be responsible for co-ordinating the staffing and patient care out-of-hours in conjunction with the Lead Nurse for Site Operations and the Patient Flow Team. You will provide advice to the hospital nursing and midwifery staff in key areas such as falls management, pressure ulcer care, medicines management, patient and relative concerns and staffing.

You will be required to work evening and weekend twilight shifts. There will also be the occasional need to be available to attend key meetings outside of these hours. You must be resilient, able to think quickly and respond to the rapidly changing needs of the hospital. You will be friendly, approachable, and always do your best to facilitate the delivery of quality care for our patients.

Main duties of the job

Responsibility during the allocated hours for the clinical operational management of the Trust and to provide visible nursing and managerial leadership, support and advice to all clinical areas in the Trust. This includes responsibility and recognition of Clinical Governance and Safeguarding issues, working collaboratively with the Outreach service to ensure patients are reviewed timely and that any operational concerns are escalated to the General Manager on call.

Working with the Divisional bleep holders to ensure that wards and departments are staffed safely and patient care is delivered effectively and appropriately. That staff, including temporary staff are redeployed if required to meet the needs of the service.

To work in conjunction with the Lead Nurse for Site Operations and the Patient Flow Team to support the appropriate movement of patients safely through the Organisation.

To manage, in liaison with the Lead Nurse for Site Operations and the Patient Flow Team and the General Manager on call if required, any unexpected issues arising which may impact on the care of individual patients or the Trust's ability to provide a normal service. Respond immediately to all emergency calls to fire, cardiac arrest, missing patients and any other clinical emergency.

About us

Bedfordshire Hospitals NHS Foundation Trust provides hospital services to a growing population of around 700,000 people living across Bedfordshire and the surrounding areas across two busy hospital sites in Bedford and Luton. Both hospital sites offer key services such as A& E, Obstetrics-led Maternity and Paediatrics.

You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career.

We have state-of-the art facilities placing us at the heart of cutting edge health care. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.

Please note that vacancies may close prior to the advertised closing date when sufficient number of applications have been received. Please ensure that you make your application as soon as possible.

All new staff will be subject to a probationary period covering their first six months in post. Travel between hospital sites may be required.

Please review all documents attached to this advert to ensure you familiarize yourself with all requirements of the job.

Job description

Job responsibilities

  • Enforces the Trusts safe staffing policy and is the first point of contact for the resolution of clinical problems out of hours
  • Attends and assists with all medical emergencies in the Trust and associated areas
  • Responsible for providing clinical leadership to clinical areas out of hours
  • A comprehensive understanding of emergency and elective care
  • Counsel and advise, as necessary, regarding clinical incidents
  • Support bereaved relatives of deceased patients out of hours
  • Works unsupervised delivering a high standard of nursing care, promoting excellent standards of professional competence, whilst working closely with other professionals
  • Acts in a supportive, informative and sensitive manager towards patients, relatives, visitors and colleagues at all times.
  • Maintains accurate and legible records of all clinical documentation with regards to statutory and Trust policies. Facilitate and assists other team members with record keeping including reporting of incidents
  • Refers clinical problems to medical staff, outreach teams and Matrons when necessary
  • Keeps updated with clinical developments. Is aware of advances in clinical care and able to facilitate nursing staff in the implementation of knowledge gained
  • To provide clinical leadership out of hours and provide expert clinical support to nursing staff promoting a patient centred approach to care.
  • Ensure the efficient deployment of staff as appropriate.
  • To clinically assess patients on the wards and contact the relevant medical teams as required.
  • To assist nursing staff as required, ensuring that nursing practices are undertaken within the policies and procedures of the Trust.
  • To liaise and work collaboratively with the Workforce Lead Nurse when a concern is raised regarding the performance/competency of our temporary workforce. To include contacting relevant nursing agencies out of hours.
  • To review Health Roster and book temporary staff (out of hours) following assessment of departments to ensure safe staffing levels within each clinical area
  • Attend key Nursing and Midwifery professional meetings to assist in communication, feedback and development of our knowledge
  • Act always in accordance with Trust policies and procedures, NMC code of Professional Conduct and other guiding documentation

  • To undertake clinical skills and extended roles in line with professional ability, training, NMC and Trust guidelines in order to prove optimum patient care.
  • Provide advanced clinical skills as appropriate
    • Venepuncture and Cannulation
    • 12 lead ECG interpretation
    • Urinary catheterisation
    • Intravenous Medication Administration
    • EPMA support
    • Advanced life support

  • Contributes to the teaching, development and supervision of all grades of staff including Students Nurses/Midwives Registered and Unregistered Nursing and Midwifery Staff. This includes bank staff.
  • Promotes and participates in all aspects of clinical governance including data analysis and audit
  • Continually updates professional knowledge basing clinical practice on best evidence available. Identifying own training needs to maintain professional standards. Is aware of revalidations requirement sin line with NMC and Trust guidelines. Actively seeks to maintain a personal development plan and portfolio, whilst encouraging and facilitating others to achieve the same.
  • Develops own scope of practice to meeting changing service needs
  • Maintain current NMC registration

  • Assist the site operations team and Matrons with site leadership when required. This includes but is not limited to all Nursing and Midwifery areas
  • Provide clinical and professional advice to all areas. Liaise with Ward Managers, Matrons and Service/Business Managers regarding the clinical and operational management of areas experiencing difficulties
  • Manage and implement the Trusts complaints, disciplinary, grievance, violence and aggression policies.
  • Support the departments to monitor the capability, competence, sickness and absence of staff following in line with the Trust policy
  • Ensure effective investigations of all incidents and complaints , implementing and monitoring action plans as necessary
  • Liaise with members of the multi-disciplinary teams within the organisation and with external stakeholders, to ensure that care is delivered both effectively and efficiently
  • Support the departments with safe and appropriate placement of emergency and elective patients, identifying potential problems in advance and developing strategies to overcome them.
  • Contribute to the development of Trust wide policies and procedures related to operational, clinical and bed management issues.
  • Support projects to ensure the Trust is well placed to meet Care Quality Commission standards and targets.
  • Report to the Senior Clinical Staff and Site Operation Team on a regular basis regarding capacity management issues
  • Report to the Director of Nursing regarding clinical practice, safety and quality of care delivery
  • Work collaboratively with Infection Control and external partners in implementing action plans to manage infection outbreaks and response.

  • Develop effective methods of communication within the Site Operations team
  • Manage, understand and present information to a variety of audiences at all levels both verbally and electronically
  • Ensure effective escalation communications with General Manager and Executive on call
  • Liaise with members of the multi-disciplinary teams within the organisation and with external stakeholders, to ensure that care is delivered both effectively and efficiently

Please see detailed Job Description attached.

Person Specification



  • Current registration with the NMC
  • Evidence of continuing professional development
  • Relevant first degree or equivalent
  • Previous bed management / patient flow experience



  • Able to demonstrate extensive operational experience as a Senior Nurse Manager
  • Experience of site management and patient flow



  • Competent in Cannulation and Phlebotomy



  • Able to articulate the complexities of the NHS and how this interfaces and impacts on site management
  • Knowledge of internal crisis & major incident management
  • Knowledge of child protection and adult safeguarding

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) .

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) .

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Bedfordshire Hospitals NHS Foundation Trust


Luton and Dunstable Hospital

Any attachments will be accessible after you click to apply.


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